Every so often, I get a run of several weeks of really bad insomnia and restless legs. It’s like someone turned off my sleep switch. I don’t feel tired but I’m exhausted and I have to void every hour instead of once or twice overnight. I’ve had signs of stress lately but no apparent cause – my psychologist says a lot of people are stressed by the global economic uncertainty, warfare, and disasters lately whether they are directly impacted or not. I’ve had sinus congestion for the past 7 months which wakes me up, too. I stop swallowing, the congestion gums up and blocks my nostrils. It feels like whatever keeps my sinuses and nasal passages open isn’t working anymore. I’ve had many nights of zero sleep or 1 or 2 hours at most. I’ve followed all of the protocols and tried many non-addictive medications, and nothing works anymore. Taking 1/4 of a trazodone pill to get to sleep occasionally used to work great, but now it makes me restless and I wake up 2 hours later and can’t get back to sleep. Because of my MG, I can’t go to the gym or on walks on days I don’t sleep because I get out of breathe after 5 minutes or I have to lay down for the rest of the day (and not sleep) with exhaustion and aching muscles. I haven’t slept more than 0-3 hrs for the past week and today I’m taking an Uber to a doctor appt instead of driving.